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New Hampshire rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.73 / $6.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $6.03 / $15.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.35 / $3.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.35 / $3.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $5.44 / $10.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.71 / $4.44